Provider Demographics
NPI:1437490968
Name:SUM LLC
Entity Type:Organization
Organization Name:SUM LLC
Other - Org Name:THE THERAPY SPOT TX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:UPSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-483-3170
Mailing Address - Street 1:PO BOX 701837
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75370-1837
Mailing Address - Country:US
Mailing Address - Phone:214-484-3317
Mailing Address - Fax:214-377-4244
Practice Address - Street 1:16220 MIDWAY RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4214
Practice Address - Country:US
Practice Address - Phone:214-483-3170
Practice Address - Fax:214-377-4244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty